Nicole Rene Johnson, M.S., L.P.C., S.A.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3067-125 Issued in WI

Practice address

704 Sand Lake Rd Ste 105
Onalaska, WI 54650-2456

Phone

(608) 799-3881

Fax

(608) 440-2823

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nicole Rene Hansel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Crosse Counseling & Wellness, LLC

  • Professional Counselor
  • Onalaska, WI
  • NPI 1013439371

  Addiction (Substance Use Disorder)

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1689616518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 SAND LAKE RD STE 105",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502456",
            "telephone_number": "608-799-3881",
            "fax_number": "608-440-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SAND LAKE RD STE 105",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502456",
            "telephone_number": "608-799-3881",
            "fax_number": "608-440-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "middle_name": "RENE",
        "credential": "M.S., L.P.C., S.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15560-131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3067-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40907500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HANSEL",
            "middle_name": "RENE",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corinna L Johnson
• Erik David Johnson, D.M.D.
• Jennifer Lea Johnson
• Laura Johnson, MS, SAC-IT
• Marlene Johnson
• Delrose D Jones, ANP-BC
• Joseph Enterprises
• Jessica Leigh Joseph, ATC
• Mark C Jungck, MD
• Elizabeth Kathan, COTA/L

• Mental Health Counselor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.